CMS Price Transparency Data

Blood test, lipase

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $46
Cash Discount Price: $75
vs. Medicare Baseline: 6.68x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at University of Iowa Health Care Medical Center Down is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 6.68x the Medicare baseline. Located in 500 E Market Street, Iowa City, IA.

Cash / Self-Pay

$75

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$6.89

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.89 (100%)

Cash / Self-Pay: $75 (1089%)

Insurance Median: $46 (668%)

Cash: $75 (1089% of Medicare)

Ins. Median: $46 (668% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.89 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 668% of the Medicare baseline (a markup of 568%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$7 - $64	102%
Blue Cross Blue Shield	$7 - $51	102%
Healthpartners	$7 - $91	102%
Iowa Total Care	$7	102%
Medical Associates	$7 - $54	102%
Molina Healthcare	$7	102%
UnitedHealthcare	$7 - $45	102%
Wellpoint (Amerigroup)	$7	102%
Immergrun	$14 - $27	203%
Quad City Community Healthcare	$15 - $80	218%
Aplos Health Plan	$16 - $86	232%
Oscar Health	$34 - $67	493%
Great River Health Systems	$38 - $75	552%
Sedgwick	$43 - $86	624%
Global Excel	$46 - $91	668%
Midlands Choice	$46 - $70	668%
Sanford Health Plan	$46 - $91	668%
Employee Benefit Systems	$48 - $96	697%
Sisco	$48 - $94	697%
Healthsmart	$49 - $96	711%
Hfn	$50 - $98	726%
Multiplan	$50 - $98	726%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $75.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83690.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Iowa Health Care Medical Center Down is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83690.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.